Richard J. Miyamoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7016T Issued in CA

Practice address

18525 S Western Ave
Gardena, CA 90248-3830

Phone

(310) 538-3937

Fax

(310) 538-6952

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Rumi Nakamura-NG, O.D.

  • Optometrist
  • Gardena, CA
  • NPI 1699749820
  Medicare reassignment
• Eugene Yoichi Osako, O.D.

  • Optometrist
  • Culver City, CA
  • NPI 1376683409
  Medicare reassignment
• Joanna Vuong, O.D.

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1205380334
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700856986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAMOTO",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7016T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sho Mito
• Guadalupe Mitzel Herrera
• Jarod Denis Mix
• Nozomi Miyaji
• Sandra Miyakawa, PMHNP-BC
• Misaki Mizutani
• Chao Mei Mo
• Mobile Medical Clinic Inc
• Mobis Medical Supply & Distributors Inc.
• Kendra Mobley

• Optometrist in Gardena, CA
• Providers in Gardena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.